Intermittent Preexcitation: Marked Enhancement of Anterograde Conduction in the Atrioventricular Accessory Pathway with Isoproterenol
Identifieur interne : 000D37 ( Main/Corpus ); précédent : 000D36; suivant : 000D38Intermittent Preexcitation: Marked Enhancement of Anterograde Conduction in the Atrioventricular Accessory Pathway with Isoproterenol
Auteurs : Arthur R. Easley Jr. ; James E. Sensecqua ; David E. Mann ; Michael J. ReiterSource :
- Pacing and Clinical Electrophysiology [ 0147-8389 ] ; 1988-03.
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Abstract
A 29‐year‐old man presented with intermittent preexcitation and exertional syncope. Electrophysiological evaluation in (he control state demonstrated a single, left posterior free‐wall atrioventricular accessory pathway. The anterograde and retrograde effective refractory periods and block cycle lengths were long in the control state. No tachycardias were induced during programmed electrical stimulation. After intravenous administration of isoproterenol, anterograde conduction of the accessory pathway was markedly enhanced (block cycle length shortened 45% to <240 ms) and rapid antidromic reciprocating tachycardia (CL = 250 ms) associated with syncope was observed. Following successful surgical dissection of the accessory pathway the patient has been without tachycardia or exertional symptoms. We conclude that, under the influence of exercise or emotion, patients with intermittent preexcitation may be at risk for serious arrhythmias.
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DOI: 10.1111/j.1540-8159.1988.tb05017.x
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Easley Jr.</name><affiliation><mods:affiliation>Division of Cardiology, Department of Medicine, University of Colorado Health Sciences Center, Denver, Colorado</mods:affiliation></affiliation></author><author><name sortKey="Sensecqua, James E" sort="Sensecqua, James E" uniqKey="Sensecqua J" first="James E." last="Sensecqua">James E. Sensecqua</name><affiliation><mods:affiliation>Division of Cardiology, Department of Medicine, University of Colorado Health Sciences Center, Denver, Colorado</mods:affiliation></affiliation></author><author><name sortKey="Mann, David E" sort="Mann, David E" uniqKey="Mann D" first="David E." last="Mann">David E. Mann</name><affiliation><mods:affiliation>Division of Cardiology, Department of Medicine, University of Colorado Health Sciences Center, Denver, Colorado</mods:affiliation></affiliation></author><author><name sortKey="Reiter, Michael J" sort="Reiter, Michael J" uniqKey="Reiter M" first="Michael J." last="Reiter">Michael J. 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Electrophysiological evaluation in (he control state demonstrated a single, left posterior free‐wall atrioventricular accessory pathway. The anterograde and retrograde effective refractory periods and block cycle lengths were long in the control state. No tachycardias were induced during programmed electrical stimulation. After intravenous administration of isoproterenol, anterograde conduction of the accessory pathway was markedly enhanced (block cycle length shortened 45% to <240 ms) and rapid antidromic reciprocating tachycardia (CL = 250 ms) associated with syncope was observed. Following successful surgical dissection of the accessory pathway the patient has been without tachycardia or exertional symptoms. We conclude that, under the influence of exercise or emotion, patients with intermittent preexcitation may be at risk for serious arrhythmias.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>ARTHUR R. EASLEY Jr.</name><affiliations><json:string>Division of Cardiology, Department of Medicine, University of Colorado Health Sciences Center, Denver, Colorado</json:string></affiliations></json:item><json:item><name>JAMES E. SENSECQUA</name><affiliations><json:string>Division of Cardiology, Department of Medicine, University of Colorado Health Sciences Center, Denver, Colorado</json:string></affiliations></json:item><json:item><name>DAVID E. MANN</name><affiliations><json:string>Division of Cardiology, Department of Medicine, University of Colorado Health Sciences Center, Denver, Colorado</json:string></affiliations></json:item><json:item><name>MICHAEL J. 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No tachycardias were induced during programmed electrical stimulation. After intravenous administration of isoproterenol, anterograde conduction of the accessory pathway was markedly enhanced (block cycle length shortened 45% to >240 ms) and rapid antidromic reciprocating tachycardia (CL = 250 ms) associated with syncope was observed. Following successful surgical dissection of the accessory pathway the patient has been without tachycardia or exertional symptoms. 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Reiter, MD. PhD., University of Colorado Health, Sciences Center, 4200 E. 9th Avenue, Box B‐13G, Denver, Colorado 80262.</p></note><affiliation>Division of Cardiology, Department of Medicine, University of Colorado Health Sciences Center, Denver, Colorado</affiliation></author></analytic><monogr><title level="j">Pacing and Clinical Electrophysiology</title><idno type="pISSN">0147-8389</idno><idno type="eISSN">1540-8159</idno><idno type="DOI">10.1111/(ISSN)1540-8159</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="1988-03"></date><biblScope unit="volume">11</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="349">349</biblScope><biblScope unit="page" to="354">354</biblScope></imprint></monogr><idno type="istex">674809215CA9EBD46258637ADF427C4A7F470E25</idno><idno type="DOI">10.1111/j.1540-8159.1988.tb05017.x</idno><idno type="ArticleID">PACE349</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1988</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>A 29‐year‐old man presented with intermittent preexcitation and exertional syncope. Electrophysiological evaluation in (he control state demonstrated a single, left posterior free‐wall atrioventricular accessory pathway. The anterograde and retrograde effective refractory periods and block cycle lengths were long in the control state. No tachycardias were induced during programmed electrical stimulation. After intravenous administration of isoproterenol, anterograde conduction of the accessory pathway was markedly enhanced (block cycle length shortened 45% to <240 ms) and rapid antidromic reciprocating tachycardia (CL = 250 ms) associated with syncope was observed. Following successful surgical dissection of the accessory pathway the patient has been without tachycardia or exertional symptoms. 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Reiter, MD. PhD., University of Colorado Health, Sciences Center, 4200 E. 9th Avenue, Box B‐13G, Denver, Colorado 80262.</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:PACE.PACE349.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Received December 29, 1986; revision received March 19, 1987; accepted June 9, 1987.</unparsedEditorialHistory><countGroup><count type="referenceTotal" number="15"></count><count type="linksCrossRef" number="5"></count></countGroup><titleGroup><title type="main">Intermittent Preexcitation: Marked Enhancement of Anterograde Conduction in the Atrioventricular Accessory Pathway with Isoproterenol</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>ARTHUR R.</givenNames><familyName>EASLEY</familyName><nameSuffix>Jr.</nameSuffix></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>JAMES E.</givenNames><familyName>SENSECQUA</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1"><personName><givenNames>DAVID E.</givenNames><familyName>MANN</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a1" corresponding="yes"><personName><givenNames>MICHAEL J.</givenNames><familyName>REITER</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="US"><unparsedAffiliation>Division of Cardiology, Department of Medicine, University of Colorado Health Sciences Center, Denver, Colorado</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">isoproterenol</keyword><keyword xml:id="k2">WPW syndrome</keyword><keyword xml:id="k3">preexcitation syndrome</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p>A 29‐year‐old man presented with intermittent preexcitation and exertional syncope. Electrophysiological evaluation in (he control state demonstrated a single, left posterior free‐wall atrioventricular accessory pathway. The anterograde and retrograde effective refractory periods and block cycle lengths were long in the control state. No tachycardias were induced during programmed electrical stimulation. After intravenous administration of isoproterenol, anterograde conduction of the accessory pathway was markedly enhanced (block cycle length shortened 45% to <240 ms) and rapid antidromic reciprocating tachycardia (CL = 250 ms) associated with syncope was observed. Following successful surgical dissection of the accessory pathway the patient has been without tachycardia or exertional symptoms. We conclude that, under the influence of exercise or emotion, patients with intermittent preexcitation may be at risk for serious arrhythmias.</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="n-fnt-1" numbered="no"><p>Supported in part by NIH Grant HL07459.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Intermittent Preexcitation: Marked Enhancement of Anterograde Conduction in the Atrioventricular Accessory Pathway with Isoproterenol</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Intermittent Preexcitation: Marked Enhancement of Anterograde Conduction in the Atrioventricular Accessory Pathway with Isoproterenol</title></titleInfo><name type="personal"><namePart type="given">ARTHUR R.</namePart><namePart type="family">EASLEY Jr.</namePart><affiliation>Division of Cardiology, Department of Medicine, University of Colorado Health Sciences Center, Denver, Colorado</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">JAMES E.</namePart><namePart type="family">SENSECQUA</namePart><affiliation>Division of Cardiology, Department of Medicine, University of Colorado Health Sciences Center, Denver, Colorado</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">DAVID E.</namePart><namePart type="family">MANN</namePart><affiliation>Division of Cardiology, Department of Medicine, University of Colorado Health Sciences Center, Denver, Colorado</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">MICHAEL J.</namePart><namePart type="family">REITER</namePart><affiliation>Division of Cardiology, Department of Medicine, University of Colorado Health Sciences Center, Denver, Colorado</affiliation><description>Correspondence: Address for reprints: Michael J. Reiter, MD. PhD., University of Colorado Health, Sciences Center, 4200 E. 9th Avenue, Box B‐13G, Denver, Colorado 80262.</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="case report" displayLabel="caseStudy"></genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">1988-03</dateIssued><edition>Received December 29, 1986; revision received March 19, 1987; accepted June 9, 1987.</edition><copyrightDate encoding="w3cdtf">1988</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="references">15</extent></physicalDescription><abstract lang="en">A 29‐year‐old man presented with intermittent preexcitation and exertional syncope. Electrophysiological evaluation in (he control state demonstrated a single, left posterior free‐wall atrioventricular accessory pathway. The anterograde and retrograde effective refractory periods and block cycle lengths were long in the control state. No tachycardias were induced during programmed electrical stimulation. After intravenous administration of isoproterenol, anterograde conduction of the accessory pathway was markedly enhanced (block cycle length shortened 45% to <240 ms) and rapid antidromic reciprocating tachycardia (CL = 250 ms) associated with syncope was observed. Following successful surgical dissection of the accessory pathway the patient has been without tachycardia or exertional symptoms. We conclude that, under the influence of exercise or emotion, patients with intermittent preexcitation may be at risk for serious arrhythmias.</abstract><subject lang="en"><genre>Keywords</genre><topic>isoproterenol</topic><topic>WPW syndrome</topic><topic>preexcitation syndrome</topic></subject><relatedItem type="host"><titleInfo><title>Pacing and Clinical Electrophysiology</title></titleInfo><genre type="Journal">journal</genre><identifier type="ISSN">0147-8389</identifier><identifier type="eISSN">1540-8159</identifier><identifier type="DOI">10.1111/(ISSN)1540-8159</identifier><identifier type="PublisherID">PACE</identifier><part><date>1988</date><detail type="volume"><caption>vol.</caption><number>11</number></detail><detail type="issue"><caption>no.</caption><number>3</number></detail><extent unit="pages"><start>349</start><end>354</end><total>6</total></extent></part></relatedItem><identifier type="istex">674809215CA9EBD46258637ADF427C4A7F470E25</identifier><identifier type="DOI">10.1111/j.1540-8159.1988.tb05017.x</identifier><identifier type="ArticleID">PACE349</identifier><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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